| NPI | 1720403835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013253) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC16642) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2022-08-08 |